Interactive cardiovascular and thoracic surgery最新文献

{"title":"Endoscopic mitral valve repair utilizing cavitron ultrasonic surgical aspirator for active endocarditis.","authors":"Soh Hosoba,&nbsp;Toshiaki Ito,&nbsp;Riku Kato","doi":"10.1093/icvts/ivac259","DOIUrl":"https://doi.org/10.1093/icvts/ivac259","url":null,"abstract":"<p><p>Mitral valve repair for endocarditis in an acute setting is still challenging due to difficulties in debriding friable tissue and in leaving enough non-infected tissue for reconstruction. Endoscopic approaches for complex mitral valve procedures via a minimally invasive approach have been reported from high-volume programs. However, the role of endoscopic mitral valve surgery for acute infective endocarditis has not been clearly defined. We report our technique of endoscopic mitral valve repair using the cavitron ultrasonic surgical aspirator system for active endocarditis. The cavitron ultrasonic surgical aspirator with a low power setting provides enough debridement of the infective tissue and leaves healthy tissue adequate for repair under a totally endoscopic vision.</p>","PeriodicalId":13621,"journal":{"name":"Interactive cardiovascular and thoracic surgery","volume":"35 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ed/dc/ivac259.PMC9639805.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33500393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Breakfast at Tiffany’s: encouraging all the best and brightest diamonds into cardiothoracic surgery","authors":"M. Lehtinen, Maroua Eid","doi":"10.1093/icvts/ivac249","DOIUrl":"https://doi.org/10.1093/icvts/ivac249","url":null,"abstract":"","PeriodicalId":13621,"journal":{"name":"Interactive cardiovascular and thoracic surgery","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75038564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Malignant pleural mesothelioma in situ.","authors":"Kohei Ando,&nbsp;Takao Morohoshi,&nbsp;Yukio Tsuura,&nbsp;Munetaka Masuda","doi":"10.1093/icvts/ivac255","DOIUrl":"https://doi.org/10.1093/icvts/ivac255","url":null,"abstract":"<p><p>Although the diagnosis of malignant pleural mesothelioma at an in situ stage was traditionally challenging, it is now possible owing to advances in molecular biological methods such as P16 fluorescence in situ hybridization or BRCA1-associated protein 1 immunohistochemistry. Here, we report the first case, to our knowledge, of total parietal pleurectomy for mesothelioma in situ. Future follow-up and accumulation of cases are necessary to determine whether total parietal pleurectomy could be applied as a treatment for mesothelioma in situ or not.</p>","PeriodicalId":13621,"journal":{"name":"Interactive cardiovascular and thoracic surgery","volume":"35 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/85/cf/ivac255.PMC9639806.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33493884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute Kidney Injury after High-Flow Regional Cerebral Perfusion in Neonatal and Infant Aortic Arch Repair.","authors":"Fumiaki Shikata, Kagami Miyaji, Satoshi Kohira, Hiroshi Goto, Torii Shinzo, Tadashi Kitamura, Toshiaki Mishima, Masaomi Fukuzumi, Shunichiro Fujioka, Akihiro Sasahara, Haruna Araki","doi":"10.1093/icvts/ivac247","DOIUrl":"10.1093/icvts/ivac247","url":null,"abstract":"<p><strong>Objectives: </strong>We applied high-flow regional cerebral perfusion (HFRCP) for aortic arch reconstruction in neonates and infants by monitoring regional oxygen saturation of the thigh (rSO2T) using near-infrared spectroscopy to maintain peripheral perfusion. This study was designed to investigate the optimal perfusion flow of HFRCP for renal protection.</p><p><strong>Methods: </strong>From 2009 to 2021, 28 consecutive neonates and infants who underwent aortic arch reconstruction with HFRCP were enrolled. The median age of the patients was 27 days; the median body weight was 3.0 kg. In HFRCP, perfusion flow was targeted at approximately 80-100 mL/kg/min and then lowered corresponding to brain rSO2 levels and blood gas data. Isosorbide dinitrate and chlorpromazine were administered to enhance peripheral perfusion flow. Regional oxygen saturation of the forehead and thighs were monitored. The stage of acute kidney injury (AKI) was classified based on the Kidney Disease Improving Global Outcomes criteria.</p><p><strong>Results: </strong>No patients had neurological events and peritoneal dialysis after surgery. The incidence of AKI was 39.3% with only three patients having greater than stage 2 AKI. The maximum postoperative serum creatinine concentration was negatively associated with the lowest rSO2T during HFRCP. The rSO2T during HFRCP was a predictive factor for postoperative creatinine increase of ≧0.3 mg/dL. The area under receiver operating characteristic curve was 0.78 with the cutoff value of 48% for rSO2T.</p><p><strong>Conclusions: </strong>The rSO2T during HFRCP is a potential predictor of postoperative renal function. To prevent AKI, the rSO2T should be preserved more than 48% by increasing HFRCP flow.</p>","PeriodicalId":13621,"journal":{"name":"Interactive cardiovascular and thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c8/25/ivac247.PMC9950871.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9360661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A combination of polyglycolic acid fabric and fibrin glue prevents air leakage from a lung defect.","authors":"Akiyo Suzuki,&nbsp;Hayato Konishi,&nbsp;Tatsuya Suzuki,&nbsp;Takahiro Katsumata,&nbsp;Nobuharu Hanaoka,&nbsp;Koichiro Nakamura,&nbsp;Chisa Matsubara,&nbsp;Shota Fujii,&nbsp;Shintaro Nemoto","doi":"10.1093/icvts/ivac196","DOIUrl":"https://doi.org/10.1093/icvts/ivac196","url":null,"abstract":"<p><strong>Objectives: </strong>Air leakage after lung resection is a common morbidity that may lengthen hospital stay. Applying sealant to a lesion is an effective prophylaxis in clinical practice. This study aimed to examine the effect of a combination of a bioabsorbable polyglycolic acid (PGA) fabric and fibrin glue (FG) on air sealing by measuring the in vitro mechanical strength and degradation of the fabric, and in vivo histological changes after implantation.</p><p><strong>Methods: </strong>A defect was created in the canine left upper lung lobe, and then filled with a fibrinogen solution and covered with a PGA sheet spray-coated with fibrinogen and thrombin. After 1 and 4 weeks, air leakage from the lesion was examined in vivo under airway pressure. Tissue samples were harvested for histological assessment.</p><p><strong>Results: </strong>The mechanical strength of the PGA fabric remained at 80-90% of the baseline level for 1 week in phosphate-buffered saline, and then rapidly decreased to zero thereafter. Air leakage from the lung defect was prevented by the combination of PGA fabric and FG at 1 and 4 weeks. Histological examinations showed that PGA bundles persisted with a non-specific inflammatory response for 2 weeks and then gradually broke into sparse yarns surrounded by collagen fibres and capillaries by 8 weeks. The lung defect was filled with FG at 1 week and by granulation tissue thereafter.</p><p><strong>Conclusions: </strong>These results provide evidence for the efficacy of a combination of PGA fabric and FG for the prevention of air leakage in the critical period after lung surgery.</p>","PeriodicalId":13621,"journal":{"name":"Interactive cardiovascular and thoracic surgery","volume":"35 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/34/79/ivac196.PMC9514797.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10458464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Simple open-heart surgery protocol for sickle-cell disease patients: a retrospective cohort study comparing patients undergoing mitral valve surgery.","authors":"Francesco Epis,&nbsp;Liliane Chatenoud,&nbsp;Alberto Somaschini,&nbsp;Ilaria Bitetti,&nbsp;Fulvio Cantarero,&nbsp;Alessandro Cristian Salvati,&nbsp;Daniela Rocchi,&nbsp;Salvatore Lentini,&nbsp;Elena Giovanella,&nbsp;Gina Portella,&nbsp;Martin Langer","doi":"10.1093/icvts/ivac205","DOIUrl":"https://doi.org/10.1093/icvts/ivac205","url":null,"abstract":"<p><strong>Objectives: </strong>Sickle-cell disease (SCD) patients are considered to be at high risk from open-heart surgery. This study assessed the role of a simple sickling-prevention protocol.</p><p><strong>Methods: </strong>Perioperative non-specific and SCD-specific morbidity and 30-day mortality are investigated in a retrospective cohort study on patients undergoing isolated mitral valve surgery. Patients with and without SCD were compared. In the SCD cohort, a bundle of interventions was applied to limit the risk of sickling: 'on-demand' transfusions to keep haemoglobin levels of around 7-8 g/dl, cardiopulmonary bypass (CPB) with higher blood flow and perfusion temperature, close monitoring of acid-base balance and oxygenation.</p><p><strong>Results: </strong>Twenty patients with and 40 patients without SCD were included. At baseline, only preoperative haemoglobin levels differed between cohorts (8.1 vs 11.8 g/dl, P < 0.001). Solely SCD patients received preoperative transfusions (45.0%). Intraoperative transfusions were significantly larger in SCD patients during CPB (priming: 300 vs 200 ml; entire length: 600 vs 300 ml and 20 vs 10 ml/kg). SCD patients had higher perfusion temperatures during CPB (34.7 vs 33.0°C, P = 0.01) with consequently higher pharyngeal temperature, both during cooling (34.1 vs 32.3°C, P = 0.02) and rewarming (36.5 vs 36.2°C, P = 0.02). No mortality occurred, and non-SCD-specific complications were comparable between groups, but one SCD patient suffered from perioperative cerebrovascular accident with seizures, and another had evident haemolysis.</p><p><strong>Conclusions: </strong>SCD patients may undergo open-heart surgery for mitral valve procedures with an acceptable risk profile. Simple but thoughtful perioperative management, embracing 'on-demand' transfusions and less-aggressive CPB cooling is feasible and probably efficacious.</p>","PeriodicalId":13621,"journal":{"name":"Interactive cardiovascular and thoracic surgery","volume":"35 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4c/51/ivac205.PMC9426665.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10793283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Extrapleural approach for thoracoabdominal infected aortic endograft: surgical and circulatory strategies.","authors":"Matteo Cazzaniga,&nbsp;Massimo Torre,&nbsp;Alfredo Lista,&nbsp;Valerio Stefano Tolva","doi":"10.1093/icvts/ivac208","DOIUrl":"https://doi.org/10.1093/icvts/ivac208","url":null,"abstract":"Video description: A 34-year-old male patient presented at the emergency department with fever, dysphagia and thoracic pain. His previous medical history consisted of caustic ingestion 18 years before, resulting in oesophageal-aorta fistula treated by aortic endograft placement and oesophageal exclusion with retrosternal colonic interposition. Diagnosis of thoracic stent graft infection was made based on clinical, microbiological and radiological criteria. After multidisciplinary consultation which involved thoracic surgery unit, the patient was considered eligible for aortic endoprosthesis explantation. The video shows the surgical intervention of removal of the aortic endograft and aortic reconstruction with homograft conduit by extrapleural approach in thoraco-phreno-laparotomy.","PeriodicalId":13621,"journal":{"name":"Interactive cardiovascular and thoracic surgery","volume":"35 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/69/0f/ivac208.PMC9443981.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10679112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Severe acute ischaemic stroke early after wedge resection in middle-aged patients: analysis and endovascular treatment.","authors":"Chong Zhang,&nbsp;Di Meng,&nbsp;Jinming Xu,&nbsp;Jinlin Cao,&nbsp;Jian Hu","doi":"10.1093/icvts/ivac211","DOIUrl":"https://doi.org/10.1093/icvts/ivac211","url":null,"abstract":"<p><p>Severe acute ischaemic stroke early after wedge resection is very rare in healthy middle-aged patients. Here, we reviewed the data and characteristics of 9 cases. The infarction resulted from embolism in intracranial arteries, severely impacting the quality of life. In the first 2 patients, the onset symptom was confused with residual anaesthetic effects early after surgery. Drawing from the initial 2 cases, the following 7 patients received accurate diagnosis and emergent endovascular thrombus aspiration with good outcome due to immediate reperfusion. Furthermore, we discuss the principal causes of severe acute stroke in healthy middle-aged patients and the efficacy of endovascular thrombus aspiration.</p>","PeriodicalId":13621,"journal":{"name":"Interactive cardiovascular and thoracic surgery","volume":"35 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/88/77/ivac211.PMC9380782.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10310611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Coil embolization to treat pulmonary sequestration in the right upper lobe.","authors":"Yujiao Deng,&nbsp;Xin Fang,&nbsp;Bing Wu","doi":"10.1093/icvts/ivac178","DOIUrl":"https://doi.org/10.1093/icvts/ivac178","url":null,"abstract":"<p><p>Although there have been a few case reports of pulmonary sequestration, it is primarily located in the lower lobe and left lung, rarely in the right upper lobe. Here, we report a case presented with haemoptysis. Computed tomography images revealed flake ground-glass shadows in the right upper lobe. Computed tomography angiography demonstrated an artery supplied the affected lesions stemmed from the aortic arch. We diagnosed and treated her with bronchial artery angiography with coil embolization. No complications were found after operation until now. Thus, CTA could help identify the abnormal blood vessels, and interventional therapy may be an effective alternative to surgery of pulmonary sequestration.</p>","PeriodicalId":13621,"journal":{"name":"Interactive cardiovascular and thoracic surgery","volume":"35 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9270865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9562055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An effective balance is based on many pillars.","authors":"Augusto D'Onofrio,&nbsp;Gino Gerosa","doi":"10.1093/icvts/ivac154","DOIUrl":"https://doi.org/10.1093/icvts/ivac154","url":null,"abstract":"their about our recently published study. Annular stabilization is the main concern of cardiac surgeons for long-term durability of transapical neochords implantation (NC) due to our well-established surgical technique. Transcatheter edge-to-edge mitral repair is always done with no annular stabilization but apparently, this is not seen as a major concern among interventional cardiologists who have demonstrated to be perseverant and keep on expanding indications and performing trials (REPAIR MR ClinicalTrials.gov and PRIMARY ClinicalTrials.gov Identifier: As a matter of fact, so far data do not support the lack of mitral annulus stabilization as a potential cause of NC failure. In entire experience with transapical-NC [1], failure has never been related to mitral annular enlargement. Furthermore, it has demonstrated that annular remodelling (reduction of annular di- ameter) occurs in patients undergoing this procedure [2]. Early referral and consequently early treatment of patients with degenerative mitral regurgita- tion (DMR) is likely going to reduce the need for annular stabilization. It is true that conventional surgery for DMR provides optimal results in terms of mortality and complications as well as of freedom from recurrent mitral regurgitation (MR) in centres of excellence that are dedicated and highly commit- ted to this procedure [3] but the real world is a different thing [3, 4]. Our data show no statistical differences between conventional surgery and NC at follow-up in patients with type A anatomy in terms of recurrence of moderate MR (63.9% vs 74.6%), severe MR (79.3% vs 79%)","PeriodicalId":13621,"journal":{"name":"Interactive cardiovascular and thoracic surgery","volume":"35 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9297498/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50157813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}